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� v • � CITY OF ORONO * Z 0 1 2 - 0 0 6 2 4 * <br /> � ' 2750 KELLEY PARKWAY DATE ISSUED: 06/29/2012 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952)249-4616 <br /> ADDRESS : 1220 LAKEVIEW AVE <br /> PIN : 10-117-23-24-0019 <br /> LEGAL DESC : UNPLATTED 10 117 23 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : ESCROW FEE-TIED TO BUILDING PERMIT <br />' PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ESCROW FEE-TIED TO BUILDING PERMIT <br /> NOTE: THIS$2500.00 ESCROW IS TIED TO BUILDING PERMIT#20 1 2-00403-PD CHECK# 1164-NORMA SCHNOOR <br /> APPLICANT ESCROW FEE-BUILDING 2,500.00 <br /> SCHNOOR,MR.&MRS.DOUGLAS TOTAL 2,500.00 <br /> 1220 LAKEVIEW AVE <br /> WAYZATA,MN 55391 <br /> OWNER <br /> SCHNOOR,MR.&MRS.DOUGLAS <br /> 1220 LAKEVIEW AVE <br /> WAYZATA,MN 55391 <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be performed according to <br /> the approved plans and specifications,applicable City approvals,and the <br /> State Building Code: This permit is for only the work described and does <br /> not grant permission for additional or related work which requires sepazate <br /> permits. All provisions of laws and ordinances goveming this type of work <br /> shall be compied with whether or not specified herein.This permit will <br /> expire and become null and void if construction authorized is not <br /> commenced within 180 days of the date of issuance,or if construction is <br /> suspended for a period of 180 days at any time after work has commenced. <br /> The applicant is responsible for assuring all required inspections aze <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> / / / / <br /> Applicant Permitee Signature Date Issued By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />